NEVVI Medicare utilization intelligence
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Market snapshot

90960 in PA CY2024

Medicare Part B FFS · CY2024 · as published by CMS

90960 — Dialysis services, 4 or more physician visits per month (20 years or older)

Billing groups
61
Named-group FFS services
29,310
FFS of Medicare
46%
Services YoY
-11.5%
FFS enrollment -2.5%
Estimated all-Medicare volume FFS + estimated MA estimate
~62,237 services

29,310 observed fee-for-service (47%) · ~32,927 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Named-group submitted charges
$18.4M
Named-group allowed amount
$10.1M
Named-group Medicare payments
$8.0M
Avg charge / svc
$627
Avg allowed / svc
$346
Avg payment / svc
$272
Average charge per group
$350 61 groups · avg submitted charge / service $1,780
Disease-burden context

Chronic kidney disease prevalence in PA: 3.9% of adults (CDC BRFSS 2024, age-adjusted; 95% CI 3.1–4.7).

0.8% lowest state  ·  PA 3.9%  ·  4.6% highest state age-adjusted adult prevalence · CDC BRFSS 2024 · PA position among all 52 states

CDC BRFSS prevalence is survey data covering all-payer adults 18 and older; Nevvi utilization counts Medicare fee-for-service only, largely 65 and older. The two appear side by side as context — Nevvi never combines them into a score, rating, or ranking. See Methods.

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Specialty market — Nephrology: 21,517 services across 33 groups; top group 19%. See Nephrology across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 90960 services, CY2024
#Physician group City Specialty Providers 90960 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 KIDNEY CARE SPECIALISTS LLC ALLENTOWN NEPHROLOGY 75 4,108 $2,423,720 $590 premium 19.1% 10.3% (610) 432-4529
2 CLINICAL RENAL ASSOCIATES LLC CHESTER NEPHROLOGY 33 2,785 $2,010,822 $722 premium 12.9% 7.0% (610) 872-8501
3 TEREDESAI MCCANN AND ASSOCIATES PC BRIDGEVILLE NEPHROLOGY 14 1,248 $561,600 $450 premium 5.8% 3.1% (412) 489-6919
4 NEPHROLOGY ASSOCIATES OF LANCASTER, LTD LANCASTER NEPHROLOGY 20 1,180 $813,020 $689 premium 5.5% 3.0% (717) 544-3232
5 NPS PHYSICIANS PITTSBURGH LLC PITTSBURGH NEPHROLOGY 40 1,172 $790,823 $675 premium 5.4% 2.9% (412) 683-4550
6 HYPERTENSION NEPHROLOGY ASSOCIATES PC WILLOW GROVE NEPHROLOGY 16 1,019 $458,550 $450 premium 4.7% 2.6% (215) 657-2012
7 RENAL CONSULTANTS OF WYOMING VALLEY PC WILKES BARRE NEPHROLOGY 3 997 $498,500 $500 premium 4.6% 2.5%
8 NEPHROLOGY AND HYPERTENSION ASSOCIATES PC LANGHORNE NEPHROLOGY 7 776 $372,480 $480 premium 3.6% 2.0% (215) 757-5772
9 PHILADELPHIA HYPERTENSION AND NEPHROLOGY CONSULTANTS PC PHILADELPHIA NEPHROLOGY 6 769 $553,680 $720 premium 3.6% 1.9% (215) 331-0515
10 ADVANCED NEPHROLOGY ASSOCIATES, P.C. EAST LIVERPOOL NEPHROLOGY 6 672 $302,400 $450 premium 3.1% 1.7% (330) 385-4040
11 NEPHROLOGY HYPERTENSION SPECIALISTS DOYLESTOWN NEPHROLOGY 5 615 $362,673 $590 premium 2.9% 1.5% (215) 348-8020
12 COORDINATED KIDNEY CARE GROUP INC KITTANNING NEPHROLOGY 8 560 $229,600 $410 premium 2.6% 1.4% (724) 548-1395
13 SUNG AND WARD INC LATROBE NEPHROLOGY 8 524 $277,720 $530 premium 2.4% 1.3% (724) 537-9208
14 PITTSBURGH KIDNEY CARE LLC UNIONTOWN NEPHROLOGY 15 478 $413,030 $864 premium 2.2% 1.2% (724) 438-3300
15 NEPHROLOGY ASSOCIATES OF TIDEWATER LTD NORFOLK NEPHROLOGY 25 424 $212,000 $500 premium 2.0% 1.1% (757) 466-9288
16 ASSOCIATES IN NEPHROLOGY PC ERIE NEPHROLOGY 6 405 $202,500 $500 premium 1.9% 1.0% (814) 453-6687
17 NORTHEAST PENNSYLVANIA NEPHROLOGY ASSOCIATES P C DUNMORE NEPHROLOGY 2 388 $135,800 $350 premium 1.8% 1.0% (570) 348-0360
18 NEPHROLOGY ASSOCIATES OF YORK PC YORK NEPHROLOGY 8 369 $156,825 $425 premium 1.7% 0.9% (717) 747-3566
19 EDWARD J FILIPPONE MD PC PHILADELPHIA NEPHROLOGY 3 368 $165,600 $450 premium 1.7% 0.9% (215) 467-8955
20 BUCKS COUNTY KIDNEY SPECIALISTS, PC LANGHORNE NEPHROLOGY 4 337 $301,585 $895 premium 1.6% 0.8% (215) 860-3520
21 NEPHROLOGY ASSOCIATES OF DELAWARE COUNTY PC DARBY NEPHROLOGY 2 301 $189,630 $630 premium 1.4% 0.8% (215) 395-6213
22 WASHINGTON NEPHROLOGY ASSOCIATES LLP ALEXANDRIA NEPHROLOGY 30 272 $246,527 $906 premium 1.3% 0.7% (703) 461-3556
23 NEPHROLOGY ASSOCIATES OF WATERTOWN PC WATERTOWN NEPHROLOGY 4 272 $153,952 $566 premium 1.3% 0.7% (315) 785-4000
24 THE KIDNEY GROUP INC YOUNGSTOWN NEPHROLOGY 21 258 $156,932 $608 premium 1.2% 0.6% (330) 746-1488
25 BAYVIEW NEPHROLOGY, INC. ERIE NEPHROLOGY 3 219 $136,875 $625 premium 1.0% 0.6% (814) 455-2279
26 ADVANCED KIDNEY CARE MEDICAL ASSOCIATES PC WEIRTON NEPHROLOGY 2 216 $114,480 $530 premium 1.0% 0.5% (304) 723-2557
27 LAUREL KIDNEY SPECIALISTS,P.C. JOHNSTOWN NEPHROLOGY 3 193 $82,025 $425 premium 0.9% 0.5% (814) 266-9919
28 FRANKLIN COUNTY MEDICAL ASSOCIATES CHAMBERSBURG NEPHROLOGY 2 173 $99,150 $573 premium 0.8% 0.4% (717) 263-7757
29 CENTER FOR KIDNEY DISEASE AND HYPERTENSION LLC WORMLEYSBURG NEPHROLOGY 8 145 $85,898 $592 premium 0.7% 0.4% (717) 737-3377
30 METROPOLITAN NEPHROLOGY ASSOCIATES PC PHILADELPHIA NEPHROLOGY 9 91 $45,500 $500 premium 0.4% 0.2% (215) 744-2266
31 NEPHROLOGY DIALYSIS AND TRANSPLANTATION ASSOCIATES PA HOUSTON NEPHROLOGY 16 63 $44,907 $713 premium 0.3% 0.2% (713) 790-9080
32 NORTHEAST KIDNEY CARE LLC FLORHAM PARK NEPHROLOGY 66 61 $35,990 $590 premium 0.3% 0.2% (973) 736-2212
33 HEALING KIDNEYS INSTITUTE OF HOUSTON PLLC SHENANDOAH NEPHROLOGY 4 59 $62,127 $1,053 premium 0.3% 0.1% (832) 610-2822

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →